Jka5 Maple Grove Inc
NPI 1861945453ActiveOrganization· Audiologist· Maple Grove, MN
Audiologist in Maple Grove, Minnesota, registered in NPPES in July 2016. The authorized official on file is Kevin Amdahl, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1861945453 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 29, 2016 |
| Last updated in NPPES | Apr 2, 2025 |
| Certified by provider | Apr 2, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Audiologist Primary | 231H00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MN) |
|---|
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